Self-Care, Perceived Social Support, and Health-Related Quality of Life in Persons With Heart Failure.

IF 2.2 4区 医学 Q1 NURSING
Ashmita Thapa, JungHee Kang, Misook Lee Chung, Jia-Rong Wu, Martha J Biddle, Geunyeong Cha, Debra K Moser
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Abstract

Abstract: Background: Depressive symptoms, anxiety, and inadequate social support are predictors of health-related quality of life (HRQoL) in persons with heart failure, but the prediction of HRQoL is multifaceted, and mechanisms underlying association are unknown. Self-care maintenance may moderate associations among these predictors, which is essential to better heart failure outcomes.Objectives: To determine whether self-care maintenance moderates the direct and indirect effects of social support on HRQoL through psychological status (i.e., depressive symptoms and anxiety) in persons with heart failure.Methods: We conducted a secondary analysis using cross-sectional data collected from 167 participants. Participants completed Patient Health Questionnaire-9, Brief Symptom Inventory, Multidimensional Scale of Perceived Social Support, Self-Care of Heart Failure Index version 6.2, and Minnesota Living with Heart Failure Questionnaire for depressive symptoms, anxiety, social support, self-care maintenance, and HRQoL, respectively. PROCESS macro was used for the analysis.Results: Self-care maintenance did not moderate the direct effect of social support on HRQoL. However, self-care maintenance moderated the indirect effect of social support on HRQoL through depressive symptoms and anxiety. The beneficial effect of social support on depressive symptoms and anxiety varied with self-care maintenance, suggesting a dose-response moderation effect.Discussion: Findings suggest that an increment in social support reduces depressive symptoms and anxiety, which further improves HRQoL. This relationship was more profound when the self-care maintenance was at a higher level. Our study emphasizes the need to focus on improving HRQoL by promoting positive social support that can decrease depressive symptoms and anxiety in persons with heart failure-particularly in those with low or moderate levels of self-care maintenance.

心力衰竭患者的自我护理、感知到的社会支持以及与健康相关的生活质量。
摘要:背景:抑郁症状、焦虑和社会支持不足是心力衰竭患者健康相关生活质量(HRQoL)的预测因素,但HRQoL的预测是多方面的,其关联机制尚不清楚。自我护理的维持可能会缓和这些预测因素之间的关联,这对改善心衰预后至关重要:目的:确定自我护理的维持是否能通过心理状态(即抑郁症状和焦虑)调节社会支持对心力衰竭患者 HRQoL 的直接和间接影响:我们利用从 167 名参与者收集的横断面数据进行了二次分析。参与者分别填写了患者健康问卷-9、简明症状量表、感知社会支持多维量表、心衰自理指数 6.2 版和明尼苏达心衰患者生活问卷,以了解抑郁症状、焦虑、社会支持、自理能力和 HRQoL。分析采用 PROCESS 宏:结果:自我护理维护并不能调节社会支持对 HRQoL 的直接影响。然而,自我护理维护通过抑郁症状和焦虑调节了社会支持对 HRQoL 的间接影响。社会支持对抑郁症状和焦虑症的有益影响随自我护理维持情况的变化而变化,这表明存在剂量-反应调节效应:讨论:研究结果表明,增加社会支持可减轻抑郁症状和焦虑,从而进一步改善 HRQoL。这种关系在自我保健维持水平较高时更为显著。我们的研究强调,有必要通过促进积极的社会支持来改善心力衰竭患者的 HRQoL,从而减少抑郁症状和焦虑,尤其是那些自我护理维持水平较低或中等的心力衰竭患者。
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来源期刊
Nursing Research
Nursing Research 医学-护理
CiteScore
3.60
自引率
4.00%
发文量
102
审稿时长
6-12 weeks
期刊介绍: Nursing Research is a peer-reviewed journal celebrating over 60 years as the most sought-after nursing resource; it offers more depth, more detail, and more of what today''s nurses demand. Nursing Research covers key issues, including health promotion, human responses to illness, acute care nursing research, symptom management, cost-effectiveness, vulnerable populations, health services, and community-based nursing studies. Each issue highlights the latest research techniques, quantitative and qualitative studies, and new state-of-the-art methodological strategies, including information not yet found in textbooks. Expert commentaries and briefs are also included. In addition to 6 issues per year, Nursing Research from time to time publishes supplemental content not found anywhere else.
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